Implementing a Hospital-Wide Programme Using iPARiHS to Prevent and Manage Incontinence-Associated Dermatitis and...

Area of Science:

• Healthcare Management
• Patient Safety
• Dermatology

Background:

• Incontinence-associated dermatitis (IAD) is a significant risk factor for pressure injuries, infection, and morbidity in healthcare settings.
• Despite existing guidelines, effective implementation of IAD prevention and management strategies remains a challenge.

Purpose of the Study:

• To implement and evaluate a hospital-wide program utilizing the Integrated Promoting Action on Research Implementation in Health Services (I-PARIHS) framework.
• The program aimed to prevent and manage IAD and reduce hospital-acquired pressure injuries (HAPIs).

Main Methods:

• A mixed-methods empirical study was conducted across surgical, medical, and critical care wards.
• Implementation involved education modules, staff engagement via focus groups, and targeted interventions like individualized toileting plans and structured skin care.
• Data collection included audits, incident reporting, and clinician knowledge surveys.

Main Results:

• Post-implementation, a reduction in HAPIs and IAD was observed, alongside improved clinician knowledge.
• Key challenges identified included workload, skill mix, and resource limitations.
• Emphasis was placed on the need for ongoing monitoring and evaluation for program sustainability and scalability.

Conclusions:

• Evidence-based interventions, interdisciplinary collaboration, and leadership support are crucial for improving patient outcomes and reducing costs associated with preventable skin injuries.
• Further research is recommended to assess IAD management in community settings and scale interventions across healthcare networks.